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Interfaces and ventilator settings for long-term noninvasive ventilation in COPD patients

Overview of attention for article published in International Journal of Chronic Obstructive Pulmonary Disease, June 2017
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About this Attention Score

  • Good Attention Score compared to outputs of the same age (66th percentile)
  • Good Attention Score compared to outputs of the same age and source (70th percentile)

Mentioned by

twitter
5 tweeters

Citations

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25 Dimensions

Readers on

mendeley
54 Mendeley
Title
Interfaces and ventilator settings for long-term noninvasive ventilation in COPD patients
Published in
International Journal of Chronic Obstructive Pulmonary Disease, June 2017
DOI 10.2147/copd.s132170
Pubmed ID
Authors

Jens Callegari, Friederike Magnet, Steven Taubner, Melanie Berger, Sarah Schwarz, Wolfram Windisch, Jan Hendrik Storre

Abstract

The establishment of high-intensity (HI) noninvasive ventilation (NIV) that targets elevated PaCO2 has led to an increase in the use of long-term NIV to treat patients with chronic hypercapnic COPD. However, the role of the ventilation interface, especially in more aggressive ventilation strategies, has not been systematically assessed. Ventilator settings and NIV compliance were assessed in this prospective cross-sectional monocentric cohort study of COPD patients with pre-existing NIV. Daytime arterialized blood gas analyses and lung function testing were also performed. The primary end point was the distribution among study patients of interfaces (full-face masks [FFMs] vs nasal masks [NMs]) in a real-life setting. The majority of the 123 patients studied used an FFM (77%), while 23% used an NM. Ventilation settings were as follows: mean ± standard deviation (SD) inspiratory positive airway pressure (IPAP) was 23.2±4.6 mbar and mean ± SD breathing rate was 16.7±2.4/minute. Pressure support ventilation (PSV) mode was used in 52.8% of patients, while assisted pressure-controlled ventilation (aPCV) was used in 47.2% of patients. Higher IPAP levels were associated with an increased use of FFMs (IPAP <21 mbar: 73% vs IPAP >25 mbar: 84%). Mean compliance was 6.5 hours/day, with no differences between FFM (6.4 hours/day) and NM (6.7 hours/day) users. PaCO2 assessment of ventilation quality revealed comparable results among patients with FFMs or NMs. This real-life trial identified the FFM as the predominantly used interface in COPD patients undergoing long-term NIV. The increased application of FFMs is, therefore, likely to be influenced by higher IPAP levels, which form part of the basis for successful application of HI-NIV in clinical practice.

Twitter Demographics

The data shown below were collected from the profiles of 5 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 54 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 54 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 8 15%
Other 6 11%
Student > Ph. D. Student 6 11%
Student > Master 6 11%
Student > Doctoral Student 5 9%
Other 11 20%
Unknown 12 22%
Readers by discipline Count As %
Medicine and Dentistry 26 48%
Nursing and Health Professions 12 22%
Pharmacology, Toxicology and Pharmaceutical Science 1 2%
Engineering 1 2%
Design 1 2%
Other 0 0%
Unknown 13 24%

Attention Score in Context

This research output has an Altmetric Attention Score of 5. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 08 June 2018.
All research outputs
#3,570,741
of 13,655,079 outputs
Outputs from International Journal of Chronic Obstructive Pulmonary Disease
#472
of 1,659 outputs
Outputs of similar age
#90,836
of 270,383 outputs
Outputs of similar age from International Journal of Chronic Obstructive Pulmonary Disease
#17
of 57 outputs
Altmetric has tracked 13,655,079 research outputs across all sources so far. This one has received more attention than most of these and is in the 73rd percentile.
So far Altmetric has tracked 1,659 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 5.2. This one has gotten more attention than average, scoring higher than 71% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 270,383 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 66% of its contemporaries.
We're also able to compare this research output to 57 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 70% of its contemporaries.